| NPI | 1194443051 |
|---|---|
| Former Legal Business Name | LEV3L PERFORMANCE PT |
| Entity Type | Organization |
| Authorized Contact | LAURA WHITELEY Owner 918-520-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2023-01-06 |